CTRI/2017/11/010508已完成未知
Assessment of non-neurolsurgical complications in traumatic neurosurgical patients admitted in ICU.A PROSPECTIVE OBSERVATIONAL STUDY
Deptof NeuroanaesthesiaAIIMS0 个研究点目标入组 200 人开始时间: 待定最近更新:
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 200
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
入选标准
- •Patients both male and female between age group of 18 to 65 years admitted in ICU
- •Pre and post operative patients with traumatic brain and spinal chord injury and associated multisystemic involvement admitted in ICU
- •Variables pertaining to neurological conditions like initial GCS at the time of admission, CT scan findings, ICP monitoring in case of head injury patients, assessment of sensory and motor power especially in spinal chord injury patients was recorded.
- •Following non-neurological complications parameters were recorded
- •Respiratory:
- •Lung infiltration on chest X-ray
- •PaO2/FiO2 < 200 (Arterial blood gas analysis[ABG])
- •PaO2/FiO2 200-300(ABG)
- •Atelectasis on X-ray
- •Cardiovascular:
- •Hypotension(Systolic blood pressure[SBP] <90 mmHg),
- •Hypertension(SBP >160mmHg)
- •Arrhythmias ( Heart rate[HR] <60beats/min or HR >120beats/min)
- •Dopamine, dobutamine or norepinephrine-its use and escalation
- •Sepsis (WBC count <4000 /ml or >1100 /ml ,Temp >38.0°C (100.4°F) or <
- •36°C (96.8°F)
- •Septic shock (features of sepsis with SBP <90mmHg,HR >90 beats/min
- •Acute kidney injury (AKI):
- •Serum creatinine >2mg/dL with or without dialysis
- •Abdominal complications:
- •Ileus(absent bowel sound)
- •Bilirubin levels > 2mg/dL
- •Aspartate amino transferase (AST) > 60U/L)
- •Electrolytical complications:
- •Hyponatremia: (Na level < 130 mmol/L)
- •Hypernatremia(Na level > 150 mmol/L)
- •Hyperkalemia(K level >5.0mmol/L)
- •Hypokalemia(K level <3.5 mmol/L)
- •Hypocalcemia(Ca level <8 mmol/L)
- •Bleeding complications:
- •In terms of requirement of blood and blood products
- •Criteria for disabilities in case of head injury is the detioration of motor response component of GCS score during ICU stay when compared to the time of ICU admission. In case of cervical injured patients, the disability is any decrease in sensory or motor function developed post ICU admission.
排除标准
- •Patients other then primary brain and spinal chord injury admitted in ICU
- •Patients with primary brain and spinal chord injury not admitted in ICU
研究者
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